| NPI | 1023339066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245353) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2018-07-31 |