| NPI | 1861787236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 13935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 20A13935) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2026-07-10 |