| NPI | 1356570311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 252943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2529431) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-08-08 |