| NPI | 1003842287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 227275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2272751) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-02-05 |