| NPI | 1366497927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 238239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11852) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-04-09 |