| NPI | 1528087327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 198166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 055431) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-07-14 |