| NPI | 1851330872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 209810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60826997) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-03-28 |