| NPI | 1508868944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 48976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061586) |
| 207R00000X Internal Medicine (Licence: NY 291418) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-03-17 |