| NPI | 1770850323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 268439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 133139) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2019-05-13 |