| NPI | 1669634028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 261336) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-01-16 |