| NPI | 1134351935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 061140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266303) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-10-08 |