| NPI | 1063037513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 43079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10070772) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-08-21 |