| NPI | 1720173743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 241403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90930) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |