| NPI | 1508285214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 301831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54897) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-08-29 |