| NPI | 1902127244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251358) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2025-03-17 |