| NPI | 1194824615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 312887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36099753) |
| 207R00000X Internal Medicine (Licence: MI 4301077471) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-01-14 |