| NPI | 1932119351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 42649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002678) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-12-17 |