| NPI | 1811977077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 143653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 197305) |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2015-01-19 |