| NPI | 1912139007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 264285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102332) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2023-01-02 |