| NPI | 1689234718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 318034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045717) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-10-06 |