| NPI | 1467089490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS023796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 322871) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-09-11 |