| NPI | 1861933012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 93761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 303565) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-11-30 |