| NPI | 1891010161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A129939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268611) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-03-17 |