| NPI | 1831402817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 80279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 37902) |
| 207R00000X Internal Medicine (Licence: NY 271987) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-08-25 |