| NPI | 1922666460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 324622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 250603) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-08-08 |