| NPI | 1396010658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 00118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262557) |
| 207R00000X Internal Medicine (Licence: NY 273200) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2026-08-24 |