| NPI | 1578730859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D72687) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2015-03-31 |