| 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 |