| NPI | 1053755009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 284560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 19453) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-09-11 |