| NPI | 1376608364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 004915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 004915) |
| 207R00000X Internal Medicine (Licence: NY 188348) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-07-15 |