| NPI | 1053493312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 171574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04921200) |
| 207R00000X Internal Medicine (Licence: VA 0101039164) | |
| 207R00000X Internal Medicine (Licence: PA MD037000E) | |
| 207R00000X Internal Medicine (Licence: AZ 16181) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |