| 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 |