| NPI | 1568511939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0009318) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 186034) |
| 207R00000X Internal Medicine (Licence: NY A186034) | |
| 207R00000X Internal Medicine (Licence: MD D0066708) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-09-19 |