| NPI | 1437444098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 018686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277329) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2022-01-18 |