| NPI | 1730322850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 271741-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52538) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-06-27 |