| NPI | 1194138263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA A137996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259367) |
| 2085R0001X (Licence: TX S2857) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-06-22 |