| NPI | 1033527098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 144121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289815) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-02-01 |