| NPI | 1295776508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D82329) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 218453) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-07-21 |