| NPI | 1992071096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 069198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262584) |
| 207R00000X Internal Medicine (Licence: NY 262747-01) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2024-11-07 |