| NPI | 1679544969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 183770) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 183770) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-05-18 |