| NPI | 1407134224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: UT 11415615-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11415615-1205) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2021-11-12 |