| NPI | 1093740334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063433) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 003256) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-10-04 |