| NPI | 1295077600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 055440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284540) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2016-07-14 |