| NPI | 1194003582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 295042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 181453) |
| 207R00000X Internal Medicine (Licence: PA MD459542) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-12-02 |