| NPI | 1093078248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101277231) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10079200) |
| 207Q00000X Family Medicine (Licence: CA A-132617) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-05-13 |