| NPI | 1033300231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 60 254310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99651) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-10-07 |