| NPI | 1194202119 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 321267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 321267) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-03-20 |