| NPI | 1912240730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MA 270778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293916) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-09-18 |