| NPI | 1750622650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A162872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284852) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2020-02-27 |