| NPI | 1003226358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9644) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-09-17 |