| NPI | 1336726124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 329197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077606) |
| 207R00000X Internal Medicine (Licence: IL 036.167804) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-04-30 |