| NPI | 1871654897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 200298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 200298) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-09-10 |