| NPI | 1205849304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 229695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432520) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2009-02-09 |