| NPI | 1689121121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57800) |
| 207R00000X Internal Medicine (Licence: NY 175360) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-08-09 |