| NPI | 1477638302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 216726) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX S4318) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-10-06 |