| NPI | 1477593119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 204804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268904) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-10-03 |