| NPI | 1215995477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 026753) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-05-18 |