| NPI | 1174841605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 320878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK AK7948) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-01-18 |