| NPI | 1487273926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 79118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 102156-01) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-08-28 |