| NPI | 1275797698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 250188) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 250188) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-06-27 |