| NPI | 1992871933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS013652) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-02-27 |