| NPI | 1992729784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 197252) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 197252) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-12-07 |