| NPI | 1588347397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 351934) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 351934) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 351934) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-12-26 |