| NPI | 1821010869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 252985-1) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 252985) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-07-06 |