| NPI | 1326307653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 280000) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NY 280000) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2018-05-25 |