| NPI | 1578995320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 46110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271018) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2023-04-12 |