| NPI | 1295116705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 67070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263969) |
| 207R00000X Internal Medicine (Licence: NY 294108) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-01-24 |