| NPI | 1568647816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 225459-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046120) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2015-03-25 |