| NPI | 1699272815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD21442) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2026-06-22 |