| NPI | 1356705008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 304972-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 268149) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-05-17 |