| NPI | 1417196841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A109913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251549) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2021-12-17 |