| NPI | 1164085452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30238) |
| 207R00000X Internal Medicine (Licence: MN 67727) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-07-19 |