| NPI | 1932425063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 53118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272295) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2014-06-20 |