| NPI | 1073697082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101250502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 223454) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-10-24 |