| NPI | 1629224118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08711100) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2024-02-20 |