| NPI | 1194017715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 66218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277368) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2020-06-18 |