| NPI | 1528529039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 009777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71136) |
| 207R00000X Internal Medicine (Licence: NY 316854) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-03-21 |