| NPI | 1578982542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 287754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 7053) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-04-30 |