| NPI | 1750391629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102208140) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237786) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-02-28 |