| NPI | 1538823760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A176166) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 310589-01) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-12-05 |