| NPI | 1043452501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 307600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47988) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-10-26 |