| NPI | 1194067587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 281936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281936) |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2021-08-11 |