| NPI | 1659433563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 245547) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101247655) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 245547) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-10-10 |