| NPI | 1265492573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 123241-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1232411) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-07-13 |