| NPI | 1215913942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 208499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043273) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-10-16 |