| NPI | 1609868785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 214274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81796) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-09-25 |