| NPI | 1700100732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A149776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267410) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-09-26 |