| NPI | 1710476411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 31161-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311161) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-07-17 |