| NPI | 1003298779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME145367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME145367) |
| 207R00000X Internal Medicine (Licence: NY 293514) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-08-19 |