| NPI | 1063661833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD217584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250214-1) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2025-09-09 |