| NPI | 1932373925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 314373) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A115316) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-06-16 |