| NPI | 1497905780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 266263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242345) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-07-25 |