| NPI | 1740225846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 25905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002524-1) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-10-25 |