| NPI | 1083690416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229269) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-03-04 |