| NPI | 1821225632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 304685) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY A304685) |
| 207Q00000X Family Medicine (Licence: VA 0101252125) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA10862300) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-12-20 |