| NPI | 1619066222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 235382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A050131) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-05-26 |