| NPI | 1376717611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 269958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0071967) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2013-06-17 |