| NPI | 1255711461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294294) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-04-22 |