| NPI | 1053775833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64606) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-09-13 |