| NPI | 1679669675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 28139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 154404) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-01-17 |