| NPI | 1841506375 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253631)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 313668)  | 
| Enumeration Date | 2010-08-21 | 
| Last Update Date | 2025-02-24 |