| NPI | 1780633883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 230413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6536) |
| 207R00000X Internal Medicine (Licence: CA C165447) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-11-01 |