| NPI | 1861499915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L0170) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2015-10-22 |