| NPI | 1336446392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085445A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268919) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2021-12-09 |