| NPI | 1962081422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 331598-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 83573) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-01-29 |