| NPI | 1366020323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 343761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289409) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-06-18 |