| NPI | 1235578303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 310339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS018336) |
| 207Q00000X Family Medicine (Licence: CT 76326) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-11-09 |