| NPI | 1104002203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202402) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2021-03-23 |