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 | 2025-07-16 |