| NPI | 1003222449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 1746037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 73788) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-05-03 |