| NPI | 1609206358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 283076) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2020-03-13 |