| NPI | 1740487289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD047996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241909) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-09-22 |