| NPI | 1821129370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME95000) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-02-22 |