| NPI | 1558445726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 292050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 045663) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-06-30 |