| NPI | 1962070904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 332172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223998) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-08-30 |