| NPI | 1033226899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME126454) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 241331) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-03-07 |