| NPI | 1831462902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61094612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290001) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2021-04-02 |