| NPI | 1184007270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 297150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME176758) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-10-14 |