| NPI | 1235352139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA a89066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 244924) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-09-14 |