| NPI | 1780803056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 236624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 17031) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-06-17 |