| NPI | 1801806542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 233051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC TL26382) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-03-01 |