| NPI | 1821060583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9700627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 201315) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-10-25 |