| NPI | 1972858850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 288927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301106647) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-02-12 |