| NPI | 1275562035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 230456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-02764) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-12-21 |