| NPI | 1831144690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 211789) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NY 211789) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-04-28 |