| NPI | 1356510465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012020705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8204) |
| 207R00000X Internal Medicine (Licence: KS 04-35580) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2021-07-19 |