| NPI | 1285924944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A171486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 277049) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-04-16 |