| NPI | 1255997672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 82921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 314687) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-05-07 |