| NPI | 1598489619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 029151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110008666) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-06-30 |