| NPI | 1174812531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A156987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276409-1) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-08-03 |