| 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 |