| NPI | 1487388625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS T4956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P114801) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-07-05 |