| NPI | 1144872185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 318050-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 104555) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-05-14 |