| NPI | 1982834859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 296022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250862) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2019-06-04 |