| NPI | 1740620400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 284276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255763) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2016-07-05 |