| NPI | 1063491173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 215563-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H0593) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |