| NPI | 1013408699 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME172898) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY p10099) | 
| 207R00000X Internal Medicine (Licence: NC 2025-00695) | |
| Enumeration Date | 2018-05-19 | 
| Last Update Date | 2025-03-28 |