| NPI | 1528219664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 8557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261236) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2013-12-10 |