| NPI | 1730266123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 166732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 166732) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-04-25 |