| NPI | 1164559852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36001) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-04-01 |