| NPI | 1992817662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 339832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11252500) |
| 207R00000X Internal Medicine (Licence: MI NR082706) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-10-16 |