| NPI | 1427068782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 200860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 18127) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-02-18 |