| NPI | 1013408152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071738) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-05-28 |