NPI | 1407230295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 21047) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301432-01) |
Enumeration Date | 2015-07-12 |
Last Update Date | 2020-12-29 |