| NPI | 1184646952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 249333-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2006-01109) |
| 207R00000X Internal Medicine (Licence: NY 249333) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-07-06 |