| NPI | 1457383028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 352653-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25926) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-09-14 |