| NPI | 1952562282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261543) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-11-27 |