| NPI | 1396963716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 241470) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 241470) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-06-16 |