| NPI | 1992999551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C137458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244936) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-12-10 |