| NPI | 1629079439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 178484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0590) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-07-08 |