| NPI | 1851551956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY AT34369296724) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2025-05-28 |