| NPI | 1437278181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2008015490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 243191-1) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-11-16 |