| NPI | 1831468917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 17038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270839) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2022-06-17 |