| NPI | 1922038629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 284718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G059264) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-03-30 |