| NPI | 1922462084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 17541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 298983) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2019-09-26 |