| NPI | 1023403904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 296472-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A144071) |
| 207R00000X Internal Medicine (Licence: CA A144071) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2026-10-04 |