| NPI | 1174968283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A150146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME177301) |
| 207R00000X Internal Medicine (Licence: NY 326642) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2026-03-19 |