| NPI | 1487794392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 233147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 044085) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-12-02 |