| NPI | 1154740553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 137981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291406) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-07-09 |