| NPI | 1053358234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 259200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055483) |
| 207R00000X Internal Medicine (Licence: CT 049432) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-01-29 |