| NPI | 1225046279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NY 225349) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 225349) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-05-14 |