| NPI | 1750586939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 30646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241104) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-10-20 |