| NPI | 1932460151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F305462-1) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY F340785) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |