| NPI | 1851551501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A107772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249525) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-10-28 |