| NPI | 1689924151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A145957) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 281555) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-09-17 |