| NPI | 1093343295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 3330268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 90081) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-07-11 |