| NPI | 1982806832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 261167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0009373) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2011-07-21 |