| NPI | 1588293955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 334911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1015161) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-07-01 |