| NPI | 1780639427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C153461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 238304) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 238304) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-12-20 |