| NPI | 1669784807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX q6370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09347000) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2016-04-12 |