| NPI | 1841625134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 272085) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 272085) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-07-06 |