| NPI | 1467973495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 320122-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2020-0133) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-11-24 |