| NPI | 1871874453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60785-20) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2021-03-24 |