| NPI | 1003349960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 073997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060606) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-07-25 |