| NPI | 1902838170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 227202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 016748) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-07-14 |