| NPI | 1316430879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 324473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD475233) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2023-12-19 |