| NPI | 1083137970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R238234) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F341403-1) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2021-05-06 |