| NPI | 1184627358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1725331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 172533) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-07-03 |