| NPI | 1891855730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002756) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-10-20 |