| NPI | 1346202116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0054018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262685) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-06-01 |