| NPI | 1619146206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 246642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A85122) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |