| NPI | 1053593079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 53376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247841) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-10-14 |