| NPI | 1558380345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 173520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 028759) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-08-02 |