| NPI | 1962958207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 64958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64958) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 316310) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-08-12 |