| NPI | 1841787827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 311891) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 311891) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-02-22 |