| NPI | 1508210493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300164) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-09-19 |