| NPI | 1770163206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0103171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 331269) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-07-22 |