| NPI | 1770626335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 13732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 184602-1) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-11-21 |