| NPI | 1962792002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 316907-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53044) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 262272) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-06-02 |