| NPI | 1427395672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 267751) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 267751) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2015-01-30 |