| NPI | 1174150379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS22150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323039) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-18 |