| NPI | 1174106132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD226263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 332355) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2026-01-15 |