| NPI | 1952501371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 225920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82435) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-11-18 |