| NPI | 1750451662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 278157-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48719) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-10-19 |