| NPI | 1588014039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC 210001681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 300626) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-05-17 |