| NPI | 1316568702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 321800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD482976) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-05-01 |