| NPI | 1801386040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 326374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287362) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-04-25 |