| NPI | 1760782528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258882) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2017-02-17 |