| NPI | 1225665920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U7650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 185750) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-09-13 |