| NPI | 1720433394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD27550) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 299729) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-06-04 |