| NPI | 1831149731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 231327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042047) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-05-23 |