| NPI | 1568441533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY NYS185298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 190111) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-06-08 |