| 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 |