| NPI | 1942644752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286254) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-05-04 |