| NPI | 1326188822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059641) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 233409) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-01-13 |