| NPI | 1528353430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 296511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01151) |
| 207R00000X Internal Medicine (Licence: TN 52134) | |
| 207R00000X Internal Medicine (Licence: CT 52511) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-01-27 |