| NPI | 1376805697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 272815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD177269) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-06-18 |