| NPI | 1720471402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 284443) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 284443) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 284443) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-02-20 |