| NPI | 1134127988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 267341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 32197) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2015-07-20 |