| NPI | 1245618586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U7054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 294641) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2026-05-29 |