| NPI | 1346979598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125080160) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2025-06-25 |