| 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 |