| NPI | 1760458855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 234048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14577) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2015-11-06 |