| NPI | 1699006221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 262678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64872) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2025-07-14 |