| NPI | 1053375378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 230832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 230832) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 230832) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-02-12 |