| NPI | 1548717309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 318335) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY P03023) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-07-13 |