| NPI | 1508939067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 055462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259829) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2026-03-25 |