| NPI | 1104356633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 313252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TPN25098) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-06-25 |