| NPI | 1891953063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003417) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-05-07 |