| NPI | 1235511361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 322935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464484) |
| 207R00000X Internal Medicine (Licence: TX S3330) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-01-30 |