| NPI | 1427342575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 69262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276612) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-09-24 |