| NPI | 1366192270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0018640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 344578) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-06-01 |