| NPI | 1700316940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 303717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271674) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-09-24 |