| NPI | 1952386278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 238276-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 238276) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2015-06-16 |