| NPI | 1508184029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 272088) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 272088) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2015-08-18 |