| NPI | 1558528349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A73739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 230655) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2015-07-01 |