| NPI | 1932549383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME130639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY FR0435669141) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2022-07-21 |