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 |