| NPI | 1780021634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02004999A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25mb09276100) |
| 207R00000X Internal Medicine (Licence: NY 269906) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-12-29 |