| NPI | 1225426851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C168880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280815) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2021-11-01 |