| NPI | 1073549341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 235039) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NY 235039-1) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-10-02 |