| NPI | 1336282953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 231392) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA OS014477) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-01-30 |