| NPI | 1427122092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233636) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-10-28 |