| NPI | 1457521635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 274711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002863) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-01-06 |