| NPI | 1952782401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1348194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263942) |
| 207R00000X Internal Medicine (Licence: NJ 25MA11141800) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-12-15 |