| NPI | 1790979391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 231060) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: NY 231060) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2018-08-06 |