| NPI | 1346689510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 291147) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NY 291147) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-07-24 |