| NPI | 1770870172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 38098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263817) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2025-09-12 |