| NPI | 1831154889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 197785) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 1977851) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-08-20 |