| NPI | 1699720458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263236) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-08-11 |