| NPI | 1588745939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 267464-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301043629) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301043629) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-06-08 |