| NPI | 1205045416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 261523) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD439288) |
| 207Q00000X Family Medicine (Licence: CT 76076) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 261523) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-01-05 |