| NPI | 1285925735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 276470) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 275470) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-05-01 |