| NPI | 1932442100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 283155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 239933) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-08-26 |