| NPI | 1316501208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 331052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U4341) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-05-17 |