| NPI | 1063636579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A99472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237904) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2021-12-20 |