| NPI | 1598143356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 293673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 62947) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-12-06 |