| NPI | 1417924952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2007-00170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 235360) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2026-05-26 |