| NPI | 1861553349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 250185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD063195L) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-10-19 |