| NPI | 1003818931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210674) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 210674) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-10-27 |