| NPI | 1629226667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 24881801) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 24881801) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-01-15 |