| NPI | 1023451010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD214121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285150) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-05-25 |