| NPI | 1356752695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 294529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P92676) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-10-08 |