NPI | 1821618141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 60011312) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 60011312) |
208M00000X Hospitalist (Licence: NY 60011312) | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2023-08-07 |