| NPI | 1003104118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A20520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017029653) |
| 207R00000X Internal Medicine (Licence: TX P9230) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-02-07 |