| NPI | 1700188109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 259403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441438) |
| 207R00000X Internal Medicine (Licence: CT 54493) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2015-09-29 |