| NPI | 1952539678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09157300) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-04-22 |