| NPI | 1982011615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 324664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-42268) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-08-04 |