| NPI | 1265539720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-7304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 159435) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2012-01-12 |