| NPI | 1831160860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 246074) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 232027) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 36-107087) | |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2011-12-09 |