| NPI | 1366722399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 53075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255876) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2014-06-16 |