| NPI | 1841424124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 62962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 265326) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2019-08-27 |