| NPI | 1811151756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87237) |
| 207R00000X Internal Medicine (Licence: VT 042.0014440) | |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-80094) | |
| 207R00000X Internal Medicine (Licence: MI 4301119419) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA09577600) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2019-12-17 |