| NPI | 1871517748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-02002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 237785) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-05-07 |