| NPI | 1932310281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 234774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045269) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-07-24 |