| NPI | 1992180533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 288130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 151719) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2020-05-07 |