| NPI | 1629412416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2021-0230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290403) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2023-10-23 |