| NPI | 1558676528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267722) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2021-06-06 |