| NPI | 1528250354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D70921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242842) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-06-28 |