| NPI | 1215361183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 280171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205349) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2021-11-30 |