| NPI | 1750569075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 244019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117639) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2016-11-06 |