| NPI | 1730404476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2020-0899) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 42.0012719) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2024-12-31 |