| NPI | 1629340948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 053358) |
| 207R00000X Internal Medicine (Licence: AR E-10489) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2018-03-17 |