| NPI | 1972121879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 335016) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-05-30 |