| NPI | 1457762387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D92180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289991) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-01-11 |