| NPI | 1003145699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 159251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA045328) |
| 207R00000X Internal Medicine (Licence: FL ME69172) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |