| NPI | 1225285729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 264088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0067463) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2026-03-20 |