| NPI | 1538461066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 300896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0012251) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2019-10-18 |