| NPI | 1952087306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 345063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT022850) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2026-06-13 |