NPI | 1700085784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 261666) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME111187) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2019-09-17 |