| NPI | 1376580662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 179723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 179723) |
| 208D00000X General Practice (Licence: NY 179723) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-05-14 |