| NPI | 1487273447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 323233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT219948) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-09-22 |