| NPI | 1427396936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U8678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282641) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-05-24 |