| NPI | 1245287713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072789A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238672) |
| 207R00000X Internal Medicine (Licence: FL ME109538) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-09-04 |