| NPI | 1700078177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 235435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243202) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2010-02-02 |