| NPI | 1144596271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 266106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446261) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-03-08 |