| NPI | 1679196737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 125.076757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076757) |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2025-04-11 |