| NPI | 1720284052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 264413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7653) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2015-01-22 |