| NPI | 1265814982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018440) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-04-03 |