| NPI | 1437196144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 7469143-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 227224) |
| 207R00000X Internal Medicine (Licence: MA 208397) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-06-15 |