| NPI | 1275529604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME62558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 74261) |
| 207R00000X Internal Medicine (Licence: NY 268104) | |
| 207R00000X Internal Medicine (Licence: IL 036.145514) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-08-09 |