| NPI | 1184852840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 277388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 157181) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2021-05-21 |