| NPI | 1285660753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-02200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 246312) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-12-11 |