| NPI | 1942272612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 7554) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0420008053) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-04-08 |