| NPI | 1154492429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 129589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 129589-1) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-02-04 |