| NPI | 1396343760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD RESIDENT.) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P107242) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-08-31 |