| NPI | 1528020898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 253287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD d0059841) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-07-06 |