| NPI | 1437158151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036174854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207506) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2025-10-07 |