| NPI | 1083630594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 142148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237707) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-11-22 |