| NPI | 1164650297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 26882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14960) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2022-04-04 |