| NPI | 1477781615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI L1587295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1587296) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 273442) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-07-07 |