| NPI | 1467764639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116022872) |
| 207R00000X Internal Medicine (Licence: TX P5625) | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2023-11-21 |