| NPI | 1447719729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0100772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX t4933) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-11-08 |