| NPI | 1073208765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 13193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 345571) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2026-06-16 |