| NPI | 1477553675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94451) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 224568) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-11-15 |