| NPI | 1326373556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A54967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06823100) |
| 207R00000X Internal Medicine (Licence: NY 207889) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2015-10-20 |