| NPI | 1043697238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CT 65118) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 65118) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 294135) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 294135) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-11-05 |