| NPI | 1821195413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 13063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 203856) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2017-01-17 |