| NPI | 1699717710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 212588) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 212588) |
| 207R00000X Internal Medicine (Licence: NY 212588) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-02-24 |