| NPI | 1710148127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS22976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258833) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2025-10-23 |