| NPI | 1831365170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301102286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003662) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-02-27 |