| NPI | 1346579497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A109959) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256100) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2024-03-09 |