| NPI | 1942406277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 254359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL Not yet available) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2022-08-30 |