| NPI | 1417288861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 273303) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 273303) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2019-03-20 |