| NPI | 1609978253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 6551483) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2006014589) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2009-02-02 |