| NPI | 1457497919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 234295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A61545) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |