| NPI | 1437684966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 318737) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD471182) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-11-14 |