| NPI | 1588854798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 284464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 018797) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-06-29 |