NPI | 1881073740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 294692) |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2018-09-13 |