| NPI | 1699722009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D66419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 186016) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-04-04 |