NPI | 1063866168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 303592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 63868) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2024-03-14 |