| NPI | 1538574462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A153046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289800) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-03-27 |