| NPI | 1457367559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 215048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 212961) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |