| NPI | 1851606230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 277317-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 277317) |
| 207Q00000X Family Medicine (Licence: CA A119004) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-10-10 |