| NPI | 1073863403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 290702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081772) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2022-05-19 |