| NPI | 1760588834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232591) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-12-20 |