NPI | 1740442656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 262413) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003135) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2017-08-08 |