| NPI | 1073572426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 221112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C167310) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-12-19 |