| NPI | 1174816409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A82769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 242932-1) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2014-09-18 |