| NPI | 1245559731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 259988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A110968) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08759300) | |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2021-12-15 |