| NPI | 1790362853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 330270-01) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 330270) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-09-05 |