| NPI | 1578818787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A152300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281346-1) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2019-08-08 |