| NPI | 1275832412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me144605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275933) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2020-05-04 |