| NPI | 1003876228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 047809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232576) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-01-10 |