NPI | 1659691236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 270362-1) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 245240) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2024-08-19 |