| NPI | 1639216179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 253529) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 253529) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-09-27 |