| NPI | 1669032389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 322257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD477283) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-06-06 |