| NPI | 1184875593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08455000) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2018-11-28 |