| NPI | 1760777510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 263888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117872) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2017-11-13 |