| NPI | 1578553707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 69122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 211428) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2021-10-12 |