| NPI | 1356835292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115159) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-08-30 |