| NPI | 1790867794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 217682) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 217682) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 217682) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-10-05 |