| NPI | 1154940963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 325446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0092560) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2023-08-13 |