| NPI | 1366643090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 255593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255593) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 55592) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 106218) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-12-15 |