| NPI | 1841383940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 013124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0420009412) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-04-12 |