| NPI | 1194707398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229290) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-09-18 |