| NPI | 1104097484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 38016) |
| 207R00000X Internal Medicine (Licence: NY 247791) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2019-11-01 |