| NPI | 1124431895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036143496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207r00000x) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-07-21 |