| NPI | 1750811907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 303892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272593) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-07-30 |