| NPI | 1376614750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 55333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 191306) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2016-11-10 |