| NPI | 1669545497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236376) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-04-08 |