NPI | 1275881302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281468) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD456157) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2020-08-20 |