| NPI | 1821110131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 15967401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 159674) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-09-17 |