| NPI | 1023500253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D91379) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-06-22 |