| NPI | 1740576883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 16491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC111101) |
| 207Q00000X Family Medicine (Licence: ME MD19815) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-10-12 |