| NPI | 1669906368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 322032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0013045) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-02-05 |