| NPI | 1891010781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 263855-1) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS004850L) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2012-03-15 |