| NPI | 1700962503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14474) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC061122) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-08-06 |