| NPI | 1457580052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 265345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY MD003471) |
| 207R00000X Internal Medicine (Licence: PA MD437523) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2013-12-16 |