| NPI | 1083694251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 68753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 193261) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2023-09-21 |