| NPI | 1093897605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 186494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C043369) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-03-07 |