| NPI | 1265649073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 045358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243894) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-06-07 |