| NPI | 1306829064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 273440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A74071) |
| Enumeration Date | 2005-11-26 |
| Last Update Date | 2015-07-18 |