| NPI | 1295923837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 183548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 034710) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-06-14 |