| NPI | 1356600852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266609) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2023-09-20 |