| NPI | 1669535340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 233895-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223351) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-10-20 |