| NPI | 1720442825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 321741) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-07-05 |