| NPI | 1659832145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 315963-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074161) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-07-15 |