| NPI | 1447417316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 268184) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 208D00000X General Practice (Licence: NY 268184) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-09-11 |