| NPI | 1689152738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 313589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 069692) |
| 207R00000X Internal Medicine (Licence: MA 1016362) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-04-25 |