| NPI | 1154582856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 276953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237781) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-01-13 |