| NPI | 1902906605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 36528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 227311) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-12-06 |