| NPI | 1619017597 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C173990) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 209370) | 
| Enumeration Date | 2007-02-08 | 
| Last Update Date | 2024-05-10 |