NPI | 1285983015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 323184) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD469516) |
207Q00000X Family Medicine (Licence: MA 265060) | |
207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NY 323184) | |
Enumeration Date | 2012-09-07 |
Last Update Date | 2024-08-02 |