| NPI | 1831318799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 269473-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE BH9971979) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-07-21 |