| 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 |