| NPI | 1720242605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 9855491-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272929) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-11-02 |