| NPI | 1477715605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 081620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263085) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2021-01-15 |