| NPI | 1174263552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 345559) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125079329) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2026-06-16 |