| NPI | 1568554053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 222491) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 222491) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-04-17 |