| NPI | 1538552419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 30576101) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 30576101) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-10-26 |