| NPI | 1336431964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 261462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446442) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-07-23 |