| NPI | 1104050129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 264092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 264092) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-02-04 |