| NPI | 1598292500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 308744-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10059855) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-02-21 |