| NPI | 1356630719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.36197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269980) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-08-29 |