| NPI | 1851311823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S0647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237273) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-04-10 |