| NPI | 1194980623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 261267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248642) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2015-02-05 |