NPI | 1114368271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8118) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062810) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2025-05-13 |