| NPI | 1881993624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 76443-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269780) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-01-05 |