| NPI | 1710144381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 261229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 55348) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-03-26 |