| NPI | 1356832513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R76845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4069) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-08-16 |