| NPI | 1326357898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA mt199701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V2843) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2024-08-01 |