| NPI | 1346630159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 307399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A170225) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2024-02-09 |