| NPI | 1003805243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102202577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236291) |
| 207R00000X Internal Medicine (Licence: PA os014484) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2024-06-25 |