| NPI | 1770547986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-00030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235609) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-03-22 |