| NPI | 1699938951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 237180) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2011-10-18 |