NPI | 1275801219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NY 277201) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT205076) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2021-03-19 |