| NPI | 1346745593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 336331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 336331) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-07-01 |