| NPI | 1093880361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 250957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002015) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-04-04 |