| NPI | 1376976555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 71174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289151) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-10-03 |