| NPI | 1790938876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0012541) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2023-09-22 |