| NPI | 1457187551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY P130960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY P130960) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-14 |