| NPI | 1285623843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 69231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2114601) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2021-10-12 |