| NPI | 1457672727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 82035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277039) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-02-10 |