| NPI | 1982267472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 333413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71151) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-08-12 |