| NPI | 1376582361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224153) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-05-01 |