| NPI | 1992989081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 298100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 241021) |
| 207R00000X Internal Medicine (Licence: CT 045962) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2019-08-20 |