| NPI | 1740425537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 242952-1) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 242952-1) |
| 208600000X Surgery (Licence: NY 242952-1) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 242952-1) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2021-10-05 |