| NPI | 1124331392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD179152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272309) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-03-02 |