| NPI | 1235422023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: WA ML60281693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0040908) |
| 2085R0001X (Licence: OR MD178806) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2023-01-11 |