| NPI | 1821447145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 306404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211845) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-07-07 |