| NPI | 1649224478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 143481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 6055) |
| 207R00000X Internal Medicine (Licence: NY 301497) | |
| 207R00000X Internal Medicine (Licence: TX 696938) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-10-04 |