| NPI | 1851706949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 301761) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-05-15 |