| NPI | 1235125626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 149866) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 149866) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-01-24 |