| NPI | 1730561580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301116926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2972291) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2021-08-02 |