| NPI | 1629074232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 231343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 231343) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2010-03-26 |