| NPI | 1922278720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 85189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247230) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2022-08-15 |