| NPI | 1144581570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2978941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09755900) |
| 207R00000X Internal Medicine (Licence: GA 77527) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-08-20 |