| NPI | 1730348376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D73489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254586) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-07-17 |