| NPI | 1780779421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA08133400) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-06-11 |