| NPI | 1659398089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043990) |
| 207R00000X Internal Medicine (Licence: NY 239313) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-03-07 |