| NPI | 1205071222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 252800) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2019-02-27 |