| NPI | 1922045897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 136730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 136730) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-02-03 |