| NPI | 1235585183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM DO2022-0109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297570) |
| 207R00000X Internal Medicine (Licence: NM DO2022-109) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-10-24 |