| NPI | 1871957423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 301359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME142770) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-12-31 |