| NPI | 1760469654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 217674) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-07-13 |