| NPI | 1669785861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12009) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 257769) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-06-14 |