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 | 2023-09-08 |