| NPI | 1073049979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301512456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304083) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-03 |