| NPI | 1578589339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-00915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36251) |
| 207R00000X Internal Medicine (Licence: NY 231489) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-05-30 |