| NPI | 1073195558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78556) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2024-11-22 |