| NPI | 1083896906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 060646597) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2020-10-13 |