| NPI | 1043444086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 272074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 052101) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2014-05-12 |