| NPI | 1528528007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 081261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100387) |
| 207R00000X Internal Medicine (Licence: NY 315953) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-09-02 |