| NPI | 1467666883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247000) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-05-28 |