| NPI | 1891808291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226520) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-10-18 |