| NPI | 1013939115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-00989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233291) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-10-29 |