| NPI | 1366657207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 253031-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD436750) |
| 207R00000X Internal Medicine (Licence: PA mt188191) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-07-19 |