| NPI | 1548481740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253524) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-10-07 |