| NPI | 1144205923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 223823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 23800126) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-10-16 |