| NPI | 1962693937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 263355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102578) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-02-28 |