| NPI | 1053569095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA AAA4688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 278459 DUP) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-02-24 |