| NPI | 1225304298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 283359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54038) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2016-12-06 |