| NPI | 1750363826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268281) |
| 207R00000X Internal Medicine (Licence: NY 236563) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-08-01 |