| NPI | 1750349502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 21724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 292697) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-05-21 |