| NPI | 1427548023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 200122) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 313228-01) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-04-09 |