| NPI | 1144549452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 223975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS006339L) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |