| NPI | 1174521322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 327186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053736) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2024-04-05 |