| NPI | 1730396615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223390) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 223390) |
| 207R00000X Internal Medicine (Licence: CT 045464) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 045464) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-01-22 |