| NPI | 1356502272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-053943) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-05-31 |