| NPI | 1447416078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265180) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-11-27 |