| NPI | 1033341664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 050114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246516) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2011-09-20 |