| NPI | 1497994586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036121382) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |