| NPI | 1700390770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 71380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294888) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-06-02 |