| NPI | 1336378314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251659) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2023-10-19 |