| NPI | 1942592787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 88967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280129) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-08-26 |