| NPI | 1811334931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284367) |
| 207R00000X Internal Medicine (Licence: RI LP02861) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-12-20 |