| NPI | 1558505107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259556) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-05-30 |