| NPI | 1033173968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 210304) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-05-07 |