| NPI | 1134388952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 252908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD433390) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2010-06-15 |