| NPI | 1093128308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 281901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259576) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2019-07-02 |