| NPI | 1699724203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 193067) |
| 207Q00000X Family Medicine (Licence: PA MD456640) | |
| 207Q00000X Family Medicine (Licence: FL ME77570) | |
| 207Q00000X Family Medicine (Licence: MD D0079389) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-07-20 |