| NPI | 1093987471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 257107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 384967) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-01-05 |