| NPI | 1144386541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 49419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 234565-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-01-06 |