| NPI | 1285083378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A194319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 300929) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-04-16 |