| NPI | 1154826915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 344660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287396) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-08-31 |