| NPI | 1053493775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 230525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12381799) |
| 207R00000X Internal Medicine (Licence: TX T6753) | |
| 207R00000X Internal Medicine (Licence: CT 23233705) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-07-27 |