| NPI | 1992022719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 69712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME137755) |
| 207R00000X Internal Medicine (Licence: VA 0101266249) | |
| 207R00000X Internal Medicine (Licence: NY 296213) | |
| 207R00000X Internal Medicine (Licence: CA A121267) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-02-04 |