| NPI | 1871647297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 234690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 222377) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-03-16 |