| NPI | 1740664085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 273905) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: NY 273905) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-07-21 |