| NPI | 1255564969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 265558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012337) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2018-10-22 |