| NPI | 1952628422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 14488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 270506) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-06-30 |