| NPI | 1013367309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 84258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468755) |
| 207R00000X Internal Medicine (Licence: NY 302324) | |
| 207R00000X Internal Medicine (Licence: PA MT212010) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-07-28 |