| NPI | 1801936398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 075572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 208226) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-02-15 |