| NPI | 1346482304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266129) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-04-15 |