| NPI | 1932140019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 11732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 015882) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-09-23 |