| NPI | 1790867521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240207) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-03-08 |