| NPI | 1003021007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 195627) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 195627) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2025-09-08 |