| NPI | 1932331980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME133465) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 266843) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2019-10-23 |