| NPI | 1649473323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA a103490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 244534) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-04-11 |