| NPI | 1497166391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 283545) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 283545) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-09-03 |