| NPI | 1639358682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 246465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045868) |
| 207R00000X Internal Medicine (Licence: MA 234769) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 234769) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 246465) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2013-04-24 |