| NPI | 1154568137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 126425) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2013-12-13 |