| NPI | 1417904962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 220548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 87952) |
| 207R00000X Internal Medicine (Licence: NM MD2013-0887) | |
| 207R00000X Internal Medicine (Licence: NC 202200517) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2025-05-27 |