| NPI | 1396033015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 275829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200076) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2018-12-10 |