| NPI | 1013132596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 231187) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-09-07 |