| NPI | 1275579203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME159471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 218800) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2025-08-14 |