| NPI | 1497715809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 200562-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 200562-1) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-05-28 |