| NPI | 1265838056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 278270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278027) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2023-07-18 |