| NPI | 1881879674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 047473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246154) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2009-10-21 |