| NPI | 1598892580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A75224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 224785) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |