| NPI | 1669468245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CDRH.0050243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 24898) |
| 207R00000X Internal Medicine (Licence: CA G172361) | |
| 207R00000X Internal Medicine (Licence: NY 309825) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11107800) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-09-25 |