| NPI | 1093276339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6068) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-08-27 |