| NPI | 1104059708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101018418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 295621) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2018-10-17 |