| NPI | 1912077421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4496) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 7575300) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-10-30 |