| NPI | 1336112424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 255647-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A95772) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08734900) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-12-17 |