| NPI | 1669630018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 261073-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-02110) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2013-01-10 |