| NPI | 1033400668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276190) |
| 207R00000X Internal Medicine (Licence: NJ 25MA10147100) | |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2022-01-20 |