| NPI | 1164590568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 253445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36113681) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 253445) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-07-06 |