| NPI | 1780610048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 19116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237924) |
| 207P00000X Emergency Medicine (Licence: NY 237924) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-12-23 |