| NPI | 1154370914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35049052) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-01-09 |