| NPI | 1275617979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 270175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00048599) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-05-30 |