| NPI | 1942396197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08108700) |
| 207R00000X Internal Medicine (Licence: CA A91243) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-07-09 |