| NPI | 1093753410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 52264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265985) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-10-18 |