| NPI | 1023046059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD24137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 55569-20) |
| 207R00000X Internal Medicine (Licence: TX R8916) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-11-12 |