| NPI | 1972984656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 303495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151009751) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2026-02-09 |