| NPI | 1265919328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 93372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311711) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-03-07 |