| NPI | 1265119267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY P122552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60-P122552-01) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |