| NPI | 1598090441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 260153) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-02-11 |