| NPI | 1568873701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 288537-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 288537) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-08-28 |