| NPI | 1356439285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 203262) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-12-16 |