| NPI | 1487811733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 253227) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A119205) |
| 207Q00000X Family Medicine (Licence: IL 036136088) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-01-08 |